I agree to permit the publication of my story on the Transplant Living Web site as a part of the stories of hope collection. I understand that all visitors to the site will be able to view and read my profile, which may contain personal information, including my name, photo, medical diagnosis and treatment. I acknowledge and agree that I am not submitting this information to United Network for Organ Sharing (UNOS) for its comment because UNOS does not provide medical or clinical advice in response to any patient profile or elsewhere on the Transplant Living Web site. I understand that some profiles may be featured on the home page of the Web site. Note: This option is required in order to publish your profile online at www.transplantliving.org.
I would like to share my story with a wider audience. I hereby authorize UNOS to prepare, use, reproduce, publish, and exhibit all materials submitted to UNOS through the Transplant Living Web site including, but not limited to, my name, photograph, quote or image (the “Materials”), and further authorize all other forms of advertising and marketing thereof as it sees fit for the purpose of public, patient and professional education for organ, eye and tissue donation and transplantation, in the sole discretion of UNOS. I acknowledge that the Materials are the property of UNOS which shall have complete control of, title to, and rights in the same, including without limitation for the foregoing, full and complete authority to edit. I hereby waive all rights of privacy in connection with the use of my name, photograph, quote or image as used by UNOS and its authorized affiliates. I further waive any and all rights, whether explicit or implied, in said Material and give this consent without reservation.
I hereby waive any inspection or approval of the finished product or reproduced matter that may be used in connection with the foregoing, or to which it may be applied. I also release UNOS and its affiliates from any liability from any claim of alteration, optical illusion or faulty mechanical reproduction. I acknowledge that I have no right to compel my name, likeness, voice or performance to be included in any display, exhibition, or publication of any kind and in any medium.
By submitting these Materials, I hereby certify that I am the parent or guardian of the minor whose name, image, and personal information is contained in the Materials, and hereby agree, authorize and consent to all of the provisions set forth on behalf of my child or ward.